Lichen planus face treatment: what to know

Lichen planus is an inflammatory skin condition that may produce flat-topped or raised purple, reddish or brown bumps. On the face, colour changes can remain after active inflammation settles. Itching may be mild or prominent, and scratching can further irritate the area. A clinician may examine the pattern, ask about medicines and consider a skin sample when the diagnosis is uncertain. Learn more about [Lichen Planus](/conditions/lichen-planus/), [Itchy Skin](/symptoms/itchy-skin/) and [Skin Bumps](/symptoms/skin-bumps/).

A dermatologist may prescribe a carefully selected [Topical Corticosteroid](/treatments/medical-dermatology/topical-corticosteroids/) for a limited course. Facial skin can be more vulnerable to thinning and other steroid effects, so use only the stated amount and schedule. More extensive or stubborn disease may lead to discussion of [Oral Corticosteroid Treatment](/treatments/medical-dermatology/oral-corticosteroid-therapy/) or another anti-inflammatory approach. Use a gentle cleanser, avoid scrubbing and pause fragranced products that sting. Do not pick the bumps; note changes in colour, itch or spread for follow-up.

Arrange a dermatology assessment for new facial bumps, a spreading rash, persistent itch or changes that do not settle with gentle care. Seek prompt care for painful swelling, oozing, crusting, fever, eye involvement or vision symptoms. A rapidly changing facial lesion also deserves examination rather than self-treatment.

Ask whether the diagnosis is clear, which product is suitable for facial skin, how long to use it, and what signs suggest a side effect. Discuss whether mouth, scalp or nail symptoms need checking, and how to manage lingering dark or light marks after the rash improves.